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Family therapy and counseling in San Francisco, CA


Top family therapists in San Francisco, CA
San Francisco families benefit from culturally-informed therapists trained in family systems, communication skills, and trauma-informed care. Headway offers flexible scheduling with availability within days, ensuring your family gets support when you need it most.
I am a dedicated mental health professional who supports children and adults through life’s challenges. I currently provide individual therapy only and do not offer couples counseling. My background in behavioral health and social services, along with hands-on community experience, has shaped my practical, compassionate, and solution-focused approach.
I have worked with individuals involved in the justice system, people living with serious mental illness, children in foster care, and families navigating behavioral or developmental concerns. My experience includes case management, crisis support, employment readiness, behavioral coaching, and coordinating care with medical providers, mental health facilities, and community programs to ensure consistent, long-term support.
I help clients facing depression, anxiety, trauma, life transitions, behavioral challenges in children and teens, parenting and co-parenting concerns, and reintegration after legal involvement. My approach is strengths-based, trauma-informed, and client-centered. I believe everyone has resilience and the ability to grow with the right support.
My style is warm, honest, and structured. I value accountability while always leading with empathy and respect. I focus on building coping skills, improving communication, setting clear goals, and developing practical strategies that support emotional balance and independence.
Through therapy, clients develop new skills, discover new insights, and strengthen their resilience for whatever life brings.
Ready to feel more connected, confident, and in control of your life? Whether you’re facing relationship struggles, overwhelming emotions, or challenges around identity, you deserve a space where you feel truly seen and supported.
I’m Rocio Vaca, a Licensed Clinical Social Worker with 17+ years of experience helping couples, individuals, children, and teens create meaningful, lasting change.
For couples, I help turn conflict and disconnection into stronger communication, deeper friendship, and emotional intimacy.
I provide an affirming, judgment-free space for those exploring identity, preparing to come out, building self-acceptance, or navigating gender-affirming care. Together, we can strengthen resilience and address anxiety, depression, and stress.
Hello there. Thanks for checking out my profile.
I don't know what brings you to this tiny nook of the internet, on this particular day, but I am grateful and very curious to hear.
As a therapist, I've worked with adolescents and adults for over a decade; sharing in their challenges, connecting in laughter and kindness.
It would be my joy to learn your story and meet you with warmth, humor, and sincerity.
I strive to provide a warm, safe, and non-judgmental environment for my clients. I am passionate about helping clients find support and tools to navigate life's challenges, release emotional burdens, and reconnect with their own strengths and values. My goal is to provide a space where you feel heard, understood, respected, and empowered to move forward through life's challenges.
I did my training with adoptees, foster care, and attachment trauma. I specialize in trauma and how early childhood trauma continues to effect us into adulthood. Since becoming a therapist, I have continued my training with trauma and have extensive experience with positive parenting, managing work/life balance, managing life's challenging transitions, managing trauma reminders, and anxiety.
Hello, my name is James. I’m a California-based Licensed Clinical Social Worker with over 12 years of experience providing psychotherapy to youth, adults, and families, to help them feel empowered, engaged, and most of all, accepted in this world.
Some of what you are carrying has never fit neatly into words. I'm Richard, a licensed marriage and family therapist in California and a working artist with a master's degree in fine art. Over twenty years in mental health, across inpatient units, day programs, and skilled nursing, I have sat with teens, adults, and seniors through anxiety, depression, grief and loss, bipolar disorder, family conflict, stress, and the weight of chronic illness. I am patient, open-minded, and inclusive, and when talking stalls I bring in expressive art. You do not need to be an artist for that to help. Come as you are.
About our family therapists in San Francisco, CA



- 98%Anxiety
- 95%Depression
- 90%Stress management
- 87%Relationship issues
- 85%Family issues

- 98%Aetna
- 85%Carelon Behavioral Health
- 82%Cigna
- 79%Anthem Blue Cross California
- 73%Blue Shield of California

- 97%English
- 19%Spanish
- 2%Farsi
- 1%Mandarin
- 1%Russian

- 88%Online only
- 12%In-person or online

- 79%Woman
- 20%Man
- 1%Non-binary

- 56%Licensed Marriage/Family Therapist
- 27%Licensed Clinical Social Worker
- 6%Clinical Psychologist
- 6%Licensed Professional Clinical Counselor
- 5%Nurse Practitioner

- 100%Family therapy
- 100%Individual therapy
- 42%Couples therapy
- 28%Child or adolescent therapy
Frequently asked questions


Find the right counselor for your family
Headway makes it easier to find family-focused support — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Family Therapist in San Francisco
Finding family therapists in San Francisco starts with the type of support your family is looking for. Family therapy may help with parenting conflict, adolescent struggles, blended family dynamics, communication patterns, and major life changes. A marriage and family therapist in San Francisco is trained to work with the relational system, not only one person. As you compare therapists, look for specialties and approaches that match your needs, such as family systems therapy, trauma-informed care, or experience with couples and family counseling.
In a large market like San Francisco and the wider Bay Area, having many options can make it harder to narrow your search. Location may matter if you prefer in-person sessions near your home, work, school, or transit route. Virtual appointments can make scheduling easier when multiple family members need to attend from different places. Family therapy sessions may include the full family, caregivers and children, partners, or individual family members, so review therapist bios to understand their structure, communication style, availability, and whether they offer a free phone consultation.
Therapy in San Francisco can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you search for therapists who accept a wide range of insurance plans, confirm your benefits, and see your estimated out-of-pocket cost before booking. You can compare profiles, choose between in-person and virtual care, and book directly when you find a therapist who fits your family’s needs.
If anyone in your family is experiencing or worried about abuse, threats, or coercion, joint family or couples therapy usually isn't the right starting point — individual support is safer. The Childhelp National Child Abuse Hotline (1-800-422-4453) and National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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